IndividualActive
Bertha Richardson, MD
NPI 1184674707 · Gastroenterology Physician · Charlotte, NC
Provider details
- NPI number
- 1184674707
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 21856 (NC)
Practice location
320 Lillington Ave
Suite 202
Charlotte, NC 28204-3188
Phone: (704) 372-0638
Fax: (704) 372-0632
Mailing address
320 Lillington Ave
Charlotte, NC 28204-3188
Registry dates
- Enumerated
- 2006-05-12
- Last updated
- 2016-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.